Category Archives: Oral Care

Painful Trismus Part 2

Continued from Part 1

Why do temporomandibular joints click?

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Laxity of the posterior distal ligaments allows the disc to move forward into an abnormal position and it may momentarily obstruct forward condylar translation during jaw movements. The disc may be trapped and stretched forwards but further movement releases it suddenly and it snaps back into its normal position, giving rise to the audible and palpable click that the individual appreciates, this is an opening click. Continue reading

Osteonecrosis of the Jaw Part 2

A brief introduction has been done in “Osteonecrosis of the jaw Part 1“. Here in this article we will be discussing briefly about the prevention and treatment of osteonecrosis of the jaw.

Osteonecrosis-exposed bone on the right edentulous region of the lower jaw

How is osteonecrosis of the jaw treated?

Osteonecrosis can either be treated conservatively, or surgically:

i) Conservative treatment

Conservative treatment basically means that no active treatment is done that is directly addressing the problem. Usually, patients who present with osteonecrosis of the jaw are started on antibacterial rinses (eg: Chlorhexidine gluconate mouthwash), antibiotics and oral analgesics. Continue reading

Osteonecrosis of the Jaw Part 1

In this article we will be discussing questions about osteonecrosis of the jaw such as :

What is it?

How does it happen?

What are the causes & risks for osteonecrosis of the jaw?

What are bisphosphonates?

Should I be concerned if I am on bisphosphonates?

Why is osteonecrosis of the jaw dangerous?

The treatment and prevention of osteonecrosis of the jaw will be further discussed in the article “Osteonecrosis of the Jaw Part 2”.

Osteonecrosis- exposed bone that does not heal in the right edentulous region of the lower jaw.

What is osteonecrosis of the jaw?

“Osteonecrosis” is made up of the words “osteo”, which means bone, and “necrosis” which means death of cells. Hence “osteonecrosis” of the jaw bone means death of cells in the jaw bones. It is diagnosed when an area of bone is exposed and shows no sign of healing or gum growing over it 8 weeks after an invasive dental procedure, such as tooth extraction or implant surgeries. Both the upper and lower jaw may be affected, and it may be associated with pain, numbness, swelling and infection of the affected site. The damage to the jaw bone is irreversible, and if left untreated, can spread and can cause devastating damages, even to the point of death. Continue reading

Bad Breath 101

Bad breath, also known as halitosis, is a term used to describe noticeably unpleasant odors exhaled in breathing. It is one of the most common reasons people go to the dentists, after tooth decay and gum disease. Most of the time, individuals with bad breath are unaware they have it. Even though it is not life threatening, it can be a serious social problem that can damage an individual’s self esteem and confidence, giving rise to depression. Bad breath can cause extremely embarrassing situations in social interactions and relationships at work and in your personal life as well. Individuals who suffer from halitosis tend to avoid interactions for fear of embarrassment and to avoid any awkward interactions.

Continue reading

Having Too Much or Too Little Saliva Part 2

Continued from Part 1

Having too little saliva

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Dry mouth (xerostomia) is a complaint that is the most common salivary problem and is the subjective dryness which may be due to reduced salivary flow (hyposalivation) and/or changed salivary composition. Continue reading

Herpes infection among young children

Types of herpes simplex virus

There are 8 types of herpes simplex virus which affect human beings.  

Type I herpes simplex virus / oral herpes :  causes primary herpetic gingivostomatitis and cold sores around your mouth.

Type 2 herpes simplex virus/ genital herpes : can cause severe oropharyngeal infection and it is usually transmitted through sexual contact.

Type 3 herpes varicella zoster virus: causes chicken pox among children Continue reading

Odontogenic infections in children

WHAT ARE ODONTOGENIC INFECTIONS?

Odontogenic infections are infections that originate from your tooth or the tooth supporting tissues. It can be painful, uncomfortable and disturb your daily activities.  Odontogenic infections can be a life threatening situation when they spread into the deep fascia of the head and neck. Continue reading

Radiation Therapy and Dentistry (Part 2)

Osteoradionecrosis

What is osteoradionecrosis?

Osteoradionecrosis is an irradiated bone (undergo radiotherapy) that becomes devitalized(dead) and exposed through the overlying skin or mucosa, without healing for 3 months. It is more common in mandible (your lower jaw) compared to your maxilla (the upper jaw)  due to its compact structure and it receives less blood supply compared to the maxilla. Continue reading